<?php

$InstructionTitle = "Prescriptions";
$InstructionDetails ="Are any of your prescription medications missing from this list?";

$BreadCrumb = TRUE;

$welcome = "BC-next";
$prescriptions = "BC-current";
$nonprescriptions = "BC-next";

$ButtonText = "Submit";
$ContinuePage = "missing-prescriptions-add.php";
$NextPage = "nonprescriptions.php";
$LargeButton1Text = "Yes &#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;";
$LargeButton2Text = "Continue...&#160;&#160;";

?>

<?php 
   include 'includes/wizard-simple-header.php';

?>



<div id="medication-list">
meds go here
</div>


<?php 
include 'includes/wizard-large-button.php';
   include 'includes/wizard-simple-footer.php';

?>
<form action="<?php echo $NextPage ?>" method="post">
<input type='checkbox' name='samples' checked class='biggertext'/> test
</form>
